Baumgart Ex Rel. Baumgart v. DeFries

888 N.E.2d 199, 2008 WL 2199826
CourtIndiana Court of Appeals
DecidedApril 17, 2008
Docket82A04-0605-CV-256
StatusPublished
Cited by9 cases

This text of 888 N.E.2d 199 (Baumgart Ex Rel. Baumgart v. DeFries) is published on Counsel Stack Legal Research, covering Indiana Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Baumgart Ex Rel. Baumgart v. DeFries, 888 N.E.2d 199, 2008 WL 2199826 (Ind. Ct. App. 2008).

Opinion

OPINION

VAIDIK, Judge.

Case Summary

A jury awarded Janella and Kenneth Baumgart $6.2 million in damages for the suffering of their daughter, Amelia, their emotional distress related to her injuries, and Amelia’s wrongful death, all stemming from medical malpractice occurring during Amelia’s 1990 birth. However, the trial court reduced the judgment to $750,000 plus prejudgment interest and attorneys’ fees after determining that the Baumgarts could recover for Amelia’s wrongful death but not her suffering during life and that their total damages award is capped at $750,000 under the Medical Malpractice Act (“MMA”). The Baumgarts appeal, arguing (1) that the trial court erred in allowing a recovery for wrongful death but no recovery on their survivorship claim, (2) that the awards for negligent infliction of emotional distress and for wrongful death are not limited to a combined award of $750,000, (3) that the trial court erred in refusing two jury instructions, and (4) that the trial court erred in awarding prejudgment interest based upon the portion of the judgment for which Dr. Roy DeFries, the physician attending Amelia’s birth, is liable, rather than upon the entire judgment. Dr. DeFries cross-appeals, arguing that the trial court erroneously determined that the Baumgarts satisfied the procedural prerequisites for an award of prejudg *202 ment interest and attorneys’ fees. Finding that the Baumgarts can not recover on both their survivorship and wrongful death claims, that the MMA’s damages cap applies to limit the Baumgart’s recovery, that the trial court did not err in refusing two jury instructions and in awarding attorneys’ fees to the Baumgarts, and that the Baumgarts did not satisfy the procedural requirements for an award of prejudgment interest, we affirm in part and reverse in part.

Facts and Procedural History 1

In late August 1990, Janella and Kenneth were awaiting the birth of their first child, Amelia, whose expected due date was August 25. In the early morning hours of September 4, 1990, Janella was admitted as a patient to Deaconess Hospital in Evansville, Indiana, after she began experiencing contractions. Dr. DeFries, Janella’s physician, first saw Janella at 8:20 a.m. that morning. The artificial rupture of membranes at that time revealed possible meconium staining 2 and only a small amount of fluid. Pitocin was added to Janella’s intravenous drip, which was meant to “normalize the contractions and bring them closer together which advances the labor better usually.” Tr. p. 268. Labor was allowed to progress, and, at 12:04 p.m., the maternal-fetal monitor detected a deceleration of Amelia’s heart rate, and a large amount of meconium was expelled. At that point, someone from the hospital called Dr. DeFries at his office to alert him of the situation. The labor and delivery nurse then applied an internal fetal monitor to assess Amelia’s well-being and administered intravenous fluids to Janella. Janella’s Pitocin drip was turned off “to see if that might improve the decelerations or the heart rate drop” because the use of Pitocin “can cause” those complications. Id. at 270-71.

At approximately 1:15 p.m., Dr. DeFries returned to the hospital and examined Janella for a second time. Because of the deceleration in fetal heart rate at 12:04, he requested a consultation from Dr. John Reid, an obstetrician-gynecologist, spoke with Dr. Miles Grant, a neonatologist, and asked an anesthesiologist to place an epidural. Decelerations of Amelia’s heart rate occurred again at around 1:35 and 1:50 p.m., Tr. p. 120, and Dr. DeFries noted that they took place “on about every fourth contraction,” Appellants’ App. p. 182. Dr. Reid came to the labor and delivery room at 2:13 p.m. to check the readings from the fetal heart monitor and recommended that “they go ahead and get her delivered,” Tr. p. 437, which “meant to have an instrument delivery,” id. at 440. At around 2:30 p.m., Dr. DeFries discovered that Amelia’s position was occiput posterior, or face up, a position which sometimes renders a baby undeliverable. Appellants’ App. p. 284. After determining that instruments were necessary to assist the delivery, Dr. DeFries applied a vacuum extractor to Amelia’s head and at *203 tempted to rotate her. Id. Amelia’s heart rate began to drop, and by the time Dr. DeFries stopped using the vacuum extractor at approximately 2:50 p.m., her heart rate was in the sixties. Tr. p. 190-92. He then applied forceps to Amelia’s head in an attempt to facilitate delivery, but his attempt was unsuccessful. Id. at 195. Dr. Reid arrived at the labor and delivery room at 3:05 p.m. and delivered Amelia at 3:07 p.m. with the use of forceps. Id. at 210.

At the time of her birth, Amelia was not breathing, her heart rate was thirty beats per minute, she did not move, and her skin was blue. Id. at 212, 223. Although me-conium was not present in her airway, her umbilical cord and fingernails were meco-nium-stained. Appellants’ App. p. 183. Artificial resuscitation efforts using an ambu bag 3 raised Amelia’s heart rate, and Dr. DeFries placed an endotracheal tube 4 into her airway approximately three to four minutes after her birth in an effort to deliver more oxygen. Tr. p. 216. The tube, however, was misplaced, and the anesthesiologist, who was present for the delivery, reintubated Amelia. Id. at 220. Once Dr. Grant arrived eighteen minutes after Amelia’s birth, he reintubated her because the tube was in the “wrong position.” Id. at 307. Amelia was then transferred to the neonatal unit at St. Mary’s Hospital, where she was subsequently diagnosed with cerebral palsy with spastic quadriplegia. Id. at 483. Dr. Grant, who treated Amelia at St. Mary’s Hospital, determined that she had suffered “[sjevere perinatal depression ... [a]t or around the time of birth.” Id. at 299. Her skull was also fractured. Id. at 566.

During the delivery, Janella also sustained various injuries. After Amelia was born, Dr. Reid and another physician tended to Janella’s injuries. A later count of the sponges used during the reparative procedures revealed that a sponge was missing. Janella’s physicians anticipated that the sponge was inadvertently left “in the top of [her] vagina.” Appellants’ App. p. 166. The sponge was removed using ring forceps on September 6,1990.

Amelia’s condition did not improve with treatment. Her brain injury caused severe mental retardation and spastic quadriplegia. See Plaintiffs’ Ex. 53, Record Dated 12/16/95. She suffered “chronic ongoing problems with reactive airway disease and recurrent chronic bronchitis” and required a feeding tube and round-the-clock care. Id. In addition, she could not “verbally or visually respond to any kind of testing.” Tr. p. 891. From the time of her initial release from St. Mary’s Hospital on October 14, 1990, Janella and Kenneth cared for Amelia at home, adhering to a rigorous care schedule. Amelia’s illnesses required numerous hospitalizations, and, on February 12, 2005, almost fourteen- and-one-half years after her birth, Amelia passed away.

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Bluebook (online)
888 N.E.2d 199, 2008 WL 2199826, Counsel Stack Legal Research, https://law.counselstack.com/opinion/baumgart-ex-rel-baumgart-v-defries-indctapp-2008.